At your consultation, the provider will advise on directions for the use of this product. Take only as directed by your medical provider.
For topical use only. Wash affected area(s) with mild cleanser and apply a thin layer of cream to the affected area and rub in. Wait 5 minutes before applying anything to the area. Wash hands after application. Avoid contact with eyes.
Before first use, prime the pump: Press the pump down firmly 10–15 times to get the product flowing. This is normal for airless pumps and only needs to be done once. If product doesn't appear right away, keep pressing, it's on its way.
WARNINGS: Do not take if known allergy or hypersensitivity to Ivermectin, Azelaic Acid, Metronidazole, or any other component of the formulation. Significant drug interactions exist and may require dose/frequency adjustment or avoidance. While systemic absorption is minimal and unlikely to cause clinically significant interactions with other medications, caution is advised when administering this formulation with other medications such as anticoagulants, anticonvulsants, and certain antibiotics or consuming alcohol. Therefore, patients should be closely monitored for potential interactions and any changes in their medication regimen should be discussed with their healthcare provider. Caution should be exercised when using other topical medications due to the potential for additive or synergistic effects such as other topical preparations containing sulfur, resorcinol, or salicylic acid. Consult with a medical provider for use in pregnancy or breastfeeding.